tag:blogger.com,1999:blog-9551150.post3559368865049521887..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: ONC and "Health IT Patient Safety Action & Surveillance Plan": When Sociologists Uphold the Hippocratic Oath While Physicians Pay Respect to the Lords of Kobol, We Are in a Dark Place, Ethically Roy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-9551150.post-5841936577402118962013-01-07T12:20:01.647-05:002013-01-07T12:20:01.647-05:00Steve Lucas said...
could not help but reflect o...Steve Lucas said...<br /><br /><i> could not help but reflect on my own experience with IT projects. Put simply it is all about process not product. </i><br /><br />I had written in my original webpages in 1998 or so that it appeared hospital IT depts. were more concerned with 'process' than with results. Even if the focus on 'process' harmed or killed people.<br /><br />To make InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-91038739142012078142013-01-07T07:48:25.484-05:002013-01-07T07:48:25.484-05:00In reading the comments I could not help but refle...In reading the comments I could not help but reflect on my own experience with IT projects. Put simply it is all about process not product. Sadly many in IT will even sabotage their own projects to extend the time line and thus income and profits.<br /><br />This was driven home a number of years ago when my attorney wife was excluded from a large statewide IT project. The Feds were less than Steve Lucashttps://www.blogger.com/profile/02457363632413213801noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-11585871377888669082013-01-06T17:14:54.736-05:002013-01-06T17:14:54.736-05:00Reed, thanks for your comprehensive, well-thought-...Reed, thanks for your comprehensive, well-thought-out comments.<br /><br />I have but two comments:<br /><br /><i>On the other hand, isn't the effect of regulation to also re-direct innovation to find better ways of improving safety (think air travel, think cars, think food) by giving the industry a level "floor" level of safety requirements that innovators must compete to meet in InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-52208269967028958132013-01-06T09:26:47.932-05:002013-01-06T09:26:47.932-05:00(continued from previous)
In any case, nobody wi...(continued from previous)<br /><br /><br />In any case, nobody will disagree with this statement: there will eventually be regulations that stipulate patient safety, fitness as records management systems, and competence in usability at the bedside. When this occurs, these will favor those health care organizations and those HIT vendors who can compete on the basis of actual patient benefit and RDGelzer, MD, MPHnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-90595331928029622612013-01-06T09:26:03.102-05:002013-01-06T09:26:03.102-05:00(continued from previous comment)
Nonetheless, a...(continued from previous comment)<br /><br /><br />Nonetheless, again, even when ONC did ask a question about worsening fraud as an unintended consequence, and even when told there would be harms (2005) and how to initially address them (2007), no action was taken for many years.<br /><br />As a glib and gratuitous side note, might this mean that, to be consistent, we should deregulate RDGelzer, MD, MPHnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-43219050685657112852013-01-06T09:24:10.779-05:002013-01-06T09:24:10.779-05:00Scot,
Thank you for the extensive treatment of th...Scot,<br /><br />Thank you for the extensive treatment of the Boston Post article. I also attempted to post a comment there but that function appears to be disabled. I will post the comment here instead.<br /><br />To whom it may concern,<br /><br />Earlier in the formation of Federal HIT policy, there was an untested presumption that HIT would reduce health care waste, fraud, and abuse. ONC,RDGelzer, MD, MPHnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-35585569641399017532013-01-05T18:21:31.619-05:002013-01-05T18:21:31.619-05:00Trevor3130 said...
The quote attributed to Jodi D... Trevor3130 said...<br /><br /><i>The quote attributed to Jodi Daniel in the Boston Globe article, “There was no evidence that a mandatory program was necessary", is a gem.</i><br /><br />Quotes like these from Daniel and Halamka make attention-getting slides in my presentations to Plaintiff's attorneys on HIT industry negligence. <br /><br />-- SS InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-70378290800374345732013-01-05T15:47:32.898-05:002013-01-05T15:47:32.898-05:00The quote attributed to Jodi Daniel in the Boston ...The quote attributed to Jodi Daniel in the Boston Globe article, “There was no evidence that a mandatory program was necessary", is a gem. It's all the more outstanding when set to news that <a href="http://creativereview.co.uk/cr-blog/2013/january/great-orwell-penguin-david-pearson" rel="nofollow">Penguin Books is re-issuing George Orwell's books</a> with new covers.Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-34824795437724317552013-01-05T14:16:14.564-05:002013-01-05T14:16:14.564-05:00It is scary that these instruments have been deplo...It is scary that these instruments have been deployed in such a vast vacuum of knowledge on whether or not they do more harm than good. <br /><br />The medical literature has many examples of procedures, management strategies, and devices that were thought to be the cure all, but upon appropriate study, were found to cause more harm than good.<br /><br />Such is likely the case with most Anonymousnoreply@blogger.com